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General NPI Number Information
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NPI Number | 1992842777
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Entity Type | Individual
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Provider Name | RICHARD LOUIS ALLERS PH.D.
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Gender | Male
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 11/05/2007
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Provider Practice Location Address
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Address Line | 4320 44TH ST SW SUITE 103
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City | GRANDVILLE
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State | MI
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Zip | 49418-2300
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Country | US
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Telephone | 616-826-4814
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Fax | 616-866-0480
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Provider Business Mailing Address
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Address Line | 2300 ALGOMA WOODS DR NE
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City | ROCKFORD
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State | MI
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Zip | 49341-9157
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Country | US
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Telephone | 616-826-1814
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Fax | 616-866-0480
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 6301000976
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License Number State | MI
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